Literature DB >> 6290927

Trial of an ACTH4-9 Analogue (ORG 2766) in children with intractable seizures.

K Pentella, D S Bachman, C A Sandman.   

Abstract

The ACTH4-9 Analogue (ORG 2766) is an orally administered neuropeptide which has been showed to have behavioral effects in human subjects, but does not have any steroidogenic effects, nor other significant side effects. This study was a double-blind, crossover trial of the ACTH4-9 analogue in four children with intractable seizures. There was some slight improvement in seizure frequency in two patients, with an equivocal improvement in a third child. A fourth child was unchanged, while the fifth dropped out of the study. There were no side effects from the therapy. This questionable improvement in seizure frequency in some of the most intractable patients with seizure disorders indicates the need to further assess this ACTH4-9 analogue in a larger study over a longer period of time.

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Year:  1982        PMID: 6290927     DOI: 10.1055/s-2008-1059598

Source DB:  PubMed          Journal:  Neuropediatrics        ISSN: 0174-304X            Impact factor:   1.947


  10 in total

1.  Treatment of infantile spasms: the ideal and the mundane.

Authors:  Tallie Z Baram
Journal:  Epilepsia       Date:  2003-08       Impact factor: 5.864

2.  Corticotropin (ACTH) acts directly on amygdala neurons to down-regulate corticotropin-releasing hormone gene expression.

Authors:  K L Brunson; N Khan; M Eghbal-Ahmadi; T Z Baram
Journal:  Ann Neurol       Date:  2001-03       Impact factor: 10.422

Review 3.  Corticosteroids in the management of the paediatric epilepsies.

Authors:  R Gupta; R Appleton
Journal:  Arch Dis Child       Date:  2005-04       Impact factor: 3.791

Review 4.  ACTH treatment of infantile spasms: mechanisms of its effects in modulation of neuronal excitability.

Authors:  K L Brunson; S Avishai-Eliner; T Z Baram
Journal:  Int Rev Neurobiol       Date:  2002       Impact factor: 3.230

Review 5.  Corticosteroids including ACTH for childhood epilepsy other than epileptic spasms.

Authors:  Vishal Mehta; Colin D Ferrie; J Helen Cross; Gayatri Vadlamani
Journal:  Cochrane Database Syst Rev       Date:  2015-06-18

Review 6.  How do the many etiologies of West syndrome lead to excitability and seizures? The corticotropin releasing hormone excess hypothesis.

Authors:  K L Brunson; M Eghbal-Ahmadi; T Z Baram
Journal:  Brain Dev       Date:  2001-11       Impact factor: 1.961

7.  ACTH therapy in refractory generalized epilepsy.

Authors:  Veena Kalra; Suvasini Sharma; Ravindra Arya
Journal:  Indian J Pediatr       Date:  2009-04-18       Impact factor: 1.967

8.  ACTH does not control neonatal seizures induced by administration of exogenous corticotropin-releasing hormone.

Authors:  T Z Baram; L Schultz
Journal:  Epilepsia       Date:  1995-02       Impact factor: 5.864

9.  High-dose corticotropin (ACTH) versus prednisone for infantile spasms: a prospective, randomized, blinded study.

Authors:  T Z Baram; W G Mitchell; A Tournay; O C Snead; R A Hanson; E J Horton
Journal:  Pediatrics       Date:  1996-03       Impact factor: 7.124

10.  Therapeutic Effects of Adrenocorticotropic Hormone ACTH in Children with Severely Intractable Seizure.

Authors:  Jafar Nasiri; Azam Sarajan; Mehri Salari; Maryam Sedghi
Journal:  Iran J Child Neurol       Date:  2017
  10 in total

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